A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

Placing a sign on the client's room door indicating fall risk.

b. Encouraging the client to use the call bell for assistance.

Providing a nonskid mat on the floor beside the client's bed.

Ensuring the client has adequate lighting in the room.

Answer and Explanation

The Correct Answer is B

nswer: b. Encouraging the client to use the call bell for assistance. Explanation: Encouraging the client to use the call bell for assistance is the most important intervention for fall prevention. It promotes the client's involvement in their own safety and ensures that help is readily available when needed.

Incorrect choices: a. Placing a sign on the client's room door indicating fall risk is a helpful visual reminder, but it does not actively prevent falls. c. Providing a nonskid mat on the floor beside the client's bed can reduce the risk of slipping but does not address other factors that contribute to falls. d. Ensuring the client has adequate lighting in the room is important for preventing falls, but it is not the most critical intervention. The client's ability to seek assistance when needed is more crucial.

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Correct Answer is C

Explanation

The correct answer is choice C. Increased insulin production.Infants with intrauterine growth restriction (IUGR) are at risk for hypoglycemia due to poor nutrient reserves and hyperinsulinism.

Hyperinsulinism is a condition where the pancreas produces too much insulin, which lowers the blood glucose level.Infants with IUGR may have hyperinsulinism because of placental insufficiency, maternal diabetes, or fetal stress.

Choice A is wrong because increased glycogen stores would protect against hypoglycemia, not cause it.

Glycogen is a form of stored glucose that can be broken down when blood glucose level is low.

Choice B is wrong because decreased gluconeogenesis would also protect against hypoglycemia, not cause it.

Gluconeogenesis is a process where the liver makes glucose from non-carbohydrate sources, such as amino acids or lactate.

Choice D is wrong because decreased glucose consumption would also protect against hypoglycemia, not cause it.

Glucose consumption is the rate at which cells use glucose for energy production.

If glucose consumption is low, blood glucose level would be high.

A. I will need to increase my protein intake by 25 g per day while I am pregnant B. I will need to increase my calcium intake by 600 mg per day while I am breastfeeding C. I will need to increase my calorie intake by 500 kcal per day during my third trimester D. I will need to increase my iron intake by 10 mg per day while I am pregnant

Correct Answer is A

Explanation

I will need to increase my protein intake by 25 g per day while I am pregnant.” Protein is essential for the growth and development of the fetus and the placenta, as well as for the increased blood volume and maternal tissues.

The recommended dietary allowance (RDA) for protein during pregnancy is 71 g per day, which is 25 g more than the RDA for non-pregnant women.

Choice B is wrong because the calcium intake does not need to increase during lactation.

The RDA for calcium for lactating women is the same as for non-lactating women, which is 1000 mg per day for women aged 19 to 50 years.

Calcium absorption and retention are enhanced during lactation, and bone loss that may occur is usually reversible after weaning.

Choice C is wrong because the calorie intake does not need to increase by 500 kcal per day during the third trimester.

The estimated energy requirement (EER) for pregnant women increases by 340 kcal per day in the second trimester and by 452 kcal per day in the third trimester.

However, these values may vary depending on the pre-pregnancy weight, activity level, and rate of weight gain of the individual woman.

Choice D is wrong because the iron intake needs to increase by more than 10 mg per day while pregnant.

The RDA for iron during pregnancy is 27 mg per day, which is 9 mg more than the RDA for non-pregnant women.

However, this amount may not be enough to prevent iron deficiency anemia in some pregnant women, especially those who start pregnancy with low iron stores or have high iron losses due to bleeding or multiple pregnancies.

Therefore, iron supplements are often recommended for pregnant women, especially in the second and third trimesters.

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A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who has intrauterine growth restriction (IUGR). The nurse should recognize that this newborn is at risk for developing hypoglycemia because of which of the following factors?

Correct Answer is C

Explanation

A nurse is teaching a pregnant client about nutrition during pregnancy and lactation. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?